Intergenerational Relationship Between Parental and Their Children’ Gingivitis In Indonesia: A Life Course Approach
DOI:
https://doi.org/10.46862/interdental.v22i2.14315Keywords:
Children, gingivitis, intergenerational, life course approachAbstract
Introduction: Gingivitis, a reversible inflammatory condition, is the second most prevalent oral health issue in children, after dental caries. A national health survey in 2018 revealed a high prevalence of gingivitis among Indonesian children, with 5.8% among 5-year-old and 14.3% among 12-year-old children. Childhood is a critical period for the development of oral health behaviors, which are influenced by genetic, familial, and environmental factors. Research highlights the intergenerational transmission of gingivitis, linking parental oral health to child’s outcomes. This study aimed to analyze the relationship between the occurrence of gingivitis among parents and their 3--14-year-old children in Indonesia.
Materials and Methods: Cross-sectional study using secondary data from the 2018 Riskesdas. The data were collected by the Republic of Indonesia Ministry of Health's Research and Development in March 2018. The subject criteria were 3--14-year-old children and their biological parents who had clinical data on gingivitis status and interviews for behavioral variables. Data analysis was performed using SPSS ver.27 for univariate and bivariate analyses.
Results and Discussion: The relationship between the occurrence of gingivitis in parents and children was significant (p< .001). The parental risk factors included parents’ perceptions of oral health problems. Parents’ habits were also significantly related to their children’s habits.
Conclusion: The significant relationship between the occurrence of gingivitis among parents and children, and the significant role of parents in shaping their children’s oral health behaviors were in accordance with the concept of the intergenerational life course.
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1. Gasner NS, Schure RS. Periodontal Disease [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 May 12 [Cited 2026 June 23]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK554590/.
2. Preethanath RS, Ibraheem WI, Anil A. Pathogenesis of Gingivitis. In: Sridharan G, Sukumaran A, Al Ostwani AEO. Oral Diseases. London: Intechopen; 2020. Chapter 2, p. 11-31. DOI:10.5772/intechopen.91614.
3. Fonseca CMB, da Silva ABS, Oliveira IM, Cavalcante MMAS, Viana FJC, Rizzo MS, Júnior AMC. Comparative histology aspects of the gingiva of children and adults in the University Dental Clinics. IOSR Journal of Pharmacy. 2017;7(7):47-52.
4. Adiatman M, Nasia AA, Rahardjo A, Ayu D, Maharani, Zhang S. Dental and gingival status of 5 and 12-year-old children in Jakarta and its satellite cities. J Dent Indones. 2016;23(1):5-9. DOI:10.14693/jdi.v23i1.982.
5. Kementerian Kesehatan RI. Laporan Nasional Riskesdas 2018 [Internet]. Jakarta: Badan Penelitian dan Pengembangan Kesehatan; 2018 [cited 2026 Jun 23]. Available from: https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan%20Riskesdas%202018%20Nasional.pdf.
6. Sağlam G, Dağ A. Gingival and periodontal diseases in children. J Dent Sci Educ. 2023;1(2):55-60. DOI:10.51271/JDSE-0011.
7. Pawlaczyk-Kamieńska T. The relationship between oral hygiene and gingivitis in children. Advances in clinical and experimental medicine. 2018;27(10):1397–1401. DOI:10.17219/acem/70417.
8. Madiba T, Bhayat A. Periodontal disease - risk factors and treatment options. South African Dental Journal. 2018;73:571–575. DOI:10.17159/2519-0105/2018/v73no9a5.
9. Monteiro MF, Altabtbaei K, Kumar PS, Casati MZ, Ruiz KGS, Sallum EA, et al. Parents with periodontitis impact the subgingival colonization of their offspring. Sci Rep. 2021;11(1):1357. DOI:10.1038/s41598-020-80372-4.
10. Ben-Shlomo Y, Cooper R, Kuh D. The last two decades of life course epidemiology, and its relevance for research on ageing. International journal of epidemiology. 2016;45(4):973–988. DOI: 10.1093/ije/dyw096.
11. Wagner C, Carmeli C, Jackisch J, Kivimäki M, Linden BWA, Cullati S, et al. Life course epidemiology and public health. The Lancet Public Health. 2024;9(4):e261-e269. DOI:10.1016/S2468-2667(24)00018-5.
12. Lee R, Lam J, Baxter J, Povey J, Zubrick SR. Families, Life Courses and the Intergenerational Transmission of Social Disadvantage in Australia. In: Baxter J, Lam J, Povey J, Lee R, Zubrick SR. (eds) Family Dynamics over the Life Course. Life Course Research and Social Policies. Vol 15. Cham: Springer; 2022. p. 17-36. DOI:10.1007/978-3-031-12224-8_2.
13. Houweling TAJ, Grünberger I. Intergenerational transmission of health inequalities: towards a life course approach to socioeconomic inequalities in health - a review. Journal of Epidemiology and Community Health. 2024;78(10):641–649. DOI:10.1136/jech-2022-220162.
14. Glenny AM, Walsh T, Iwasaki M, Kateeb E, Braga MM, Riley P, Melo P. Development of tooth brushing recommendations through professional consensus. International Dental Journal. 2024;74(3):526–535. DOI:10.1016/j.identj.2023.10.018.
15. Alanazi LM, Alturaif DJ, Alhassan MH, Alshahrani AMS, Al-Ghamdi RJS, Shabi MMA, Almalkie RA. Effect of Parental History of Periodontal Disease on Children. Saudi J Oral Dent Res. 2022;7(8):192-200. DOI:10.36348/sjodr.2022.v07i08.002.
16. Sari DAO, Abdillah AD, Nugrahaeni DK. The Relation Between Parent’s Role and Children’s Brushing Techniques Toward Gingivitis Incident on Children from Selected Primary School in Cimahi. Proceedings of The 2nd International Meeting of Public Health. Public Health Perspective of Sustainable Development Goals: Challenges and Opportunities in Asia Pacific Region; 2016 Nov 18-20; Depok, Indonesia, KnE Life Sciences; 2019. p.171–178. DOI:10.18502/kls.v4i10.3784.
17. Hamalaw SJ, Salih HA, Ali DA, Fattah AO, Muhamad NO, Noori AJ. Maternal knowledge and oral health status in relation to the oral health status of children. BMC Oral Health. 2026;26(1):304. DOI:10.1186/s12903-025-07631-6.
18. Arafa A. Household smoking impact on the oral health of 5- to 7-year-old children. BMC Oral Health. 2023;23(1):1028. DOI:10.1186/s12903-023-03715-3.
19. Rachmawati Y, Rahardjo A, Maharani D. Assessment of parents’ and children’s oral health-related behavior. Journal of Stomatology. 2018;71(4):344-349. DOI:10.5114/jos.2018.83408.
20. Chawłowska E, Karasiewicz M, Lipiak A, Cofta M, Fechner B, Lewicka-Rabska A, Pruciak A, Gerreth K. Exploring the relationships between children’s oral health and parents’ oral health knowledge, literacy, behaviours and adherence to recommendations: A cross-sectional survey. International Journal of Environmental Research and Public Health. 2022;19(18):11288. DOI:10.3390/ijerph191811288.
21. Xu X, Shi X, Xie X, Liu Y, Shi H, Wang Q, Wang J. Parental health belief and behavioral factors influencing oral health behaviors of preschoolers in Shanghai: A cross-sectional study. Scientific Reports. 2025;15(1):33644. DOI:10.1038/s41598-025-13422-4.
22. Tenjin K, Sekine M, Yamada M, Tatsuse T. Relationship between parental lifestyle and dietary habits of children: A cross-sectional study. Journal of epidemiology. 2020;30(6):253–259. DOI:10.2188/jea.JE20190015.
23. Mahmood L, Flores-Barrantes P, Moreno LA, Manios Y, Gonzalez-Gil EM. The influence of parental dietary behaviors and practices on children’s eating habits. Nutrients. 2021; 13(4):1138. DOI:10.3390/nu13041138.
24. Andriani H, Putri S, Kosasih RI, Kuo HW. Parental smoking and under-five child mortality in Southeast Asia: Evidence from demographic and health surveys. Int J Environ Res Public Health. 2019;16(23):4756. DOI:10.3390/ijerph16234756.
25. Rahadiantino L, Rini AN, Prasetyo B. Intergenerational smoking among adolescent in Indonesia. Indonesian Journal of Development Studies (IJDS). 2020;1(1):101-108. DOI:10.12962/j29649714.v1i1.7910.
26. Han SY, Chang CL, Wang YL, Wang CS, Lee WJ, Vo TTT, et al. A narrative review on advancing pediatric oral health: comprehensive strategies for the prevention and management of dental challenges in children. Children (Basel, Switzerland). 2025;12(3):286. DOI:10.3390/children12030286.
27. Alamoudi RM, Showlag BA, Almujiil NJ, Alzahrani AM, Aladwani WI, Al boeid AA, et al. The impact of parental oral health behaviors on the oral health of children. Int J Community Med Public Health 2023;10(11):4451–4456. DOI:10.18203/2394-6040.ijcmph20233149.
28. Wickham RJ. Secondary analysis research. Journal of the Advanced Practitioner in Oncology. 2019;10(4):395–400. DOI:10.6004/jadpro.2019.10.4.7.
29. Chandola T, Chandola T, Booker C. Complexities of Working With Secondary Data: Limitations of Archival And Secondary Data Analysis. In: Complexities of Working with Secondary Data: Limitations of Archival and Secondary Data Analysis. SAGE Publications; 2021. p. 119-130. DOI:10.4135/9781529682762.n8.
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